Abstract：Disposable humidifying bottle is conventional clinical consumable which is used for oxygen humidification in the course
of oxygen inhalation, and it has the characteristics of widely use, large amount of use, easy operation. Due to its large amount use in
our hospital, the safety use of which obtained much attention by related departments. In recent years, there were several disposable
humidifying bottle burst events in succession. In order to ensure the safety of patients during clinical treatment and following the JCI
principle of continuous improvement, medical device management department in our hospital organized forces to investigate these
events immediately, started the recall process according to the level of risk, analyzed cause of the fault and improved the equipment
from the aspects of mould and production process. We reviewed the whole process control of this adverse event in this paper, and
proposed further improved measures.
彭俊彦，陈爽，张雷，钱建国. 一次性使用湿化瓶不良事件处理的全流程控制实践[J]. 中国医疗设备, 2018, 33(2): 97-99.
PENG Junyan, CHEN Shuang, ZHANG Lei, QIAN Jianguo. Whole Process Control Practice of Adverse Event Handling for Disposable Humidifying Bottle. China Medical Devices, 2018, 33(2): 97-99.
